DECLARATION OF INSPECTION

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Transcription:

DOI DECLARATION OF INSPECTION CHECKLIST: (EXAMPLE: The Following Document is an example of a Declaration of Inspection. Other forms such as ISGOTT (International Oil Tanker and Terminal Safety Guide)-Type may be provided, however, completing a similarly required form at the time of arrival of the vessel will provide all personnel the opportunity to review safety procedures and practices just prior to berthing.) Methanol Transfer May Not Commence until All Requirements are Met and Agreed NAME OF VESSEL PORT OF REGISTRY: IMO NUMBER: 1 NAME OF PORT: NAME OF TERMINAL: DOI CHECKLIST DATE / TIME VESSEL ARRIVAL TIME: ARRIVAL DRAFT: GANGWAY TIME: DECLARATION OF SECURITY COMPLETED: DECLARATION OF INSPECTION COMPLETED: VESSEL MANIFOLD READY: DOCK MANIFOLD READY: INSPECTOR/SURVEYOR ARRIVAL TIME: DECLARATION OF INSPECTION (DOI)

CHECKLIST ITEM PRE-TRANSFER HOSE/LOADING ARM CONNECTION MEETING YES NO INITIAL 1) Has the Declaration of Security been completed and emergency contacts established and understood? 2) Are all emergency shutdown systems operable? 3) Are all communication procedures in place and person-incharge has staffed the manifold station with a person fluent in the language of the terminal? 4) Are copies of the Facility Operations Manual/Vessel Transfer Procedures on hand and accessible to key personnel? 5) The following emergency procedures are in place a. Spill Containment 2 b. Spill Reporting DOI CHECKLIST c. Transfer shutdown d. Watch/shift procedures 6) Pre-transfer meeting (terminal and vessel PIC) a. Methanol quantity b. Transfer sequence c. Transfer rate d. Header pressure e. Personnel list of all involved in transfer f. Any Federal, state, or local rules that apply to methanol transfers g. Sampling methods h. Critical stages of the methanol transfer i. Copy of local terminal rules j. Review of local terminal rules 7) Is the vessel securely docked and the correct berth? 8) Is there safe access ship to shore? DECLARATION OF INSPECTION (DOI)

YES NO INITIAL 9) Is the vessel manifold and berth area safely lighted? 10) Have all vessel overboard valves and drains been checked and secured? 11) Terminal certifies that the hoses or loading arms have been identified and inspected for methanol use and are ready for connection? 12) Warning signs and red warning lights are operational? 13) Repair Authorization Procedure in place? 14) Boiler and Galley Fires Safety procedure in place? 15) Fires and Open Flames procedure in place? 16) Safe Smoking Space procedure in place? PRE-METHANOL LOADING CHECK YES NO INITIAL 3 1) Terminal PIC verifies vessel Certificate of Inspection VAPOR COLLECTION SYSTEM CHECK YES NO INITIAL 1) Vapor collection system pressure relief valve setting DOI CHECKLIST 2) Vapor collection system initial start-up flow rate 3) Vapor collection system maximum operating rate 4) Vapor collection system fully inspected and all valves align properly 5) Vapor collection system hose inspected and approved for use 6) Vapor collection system hose securely connected to vessel vapor connection 7) Overfill control system, if applicable, connected to the terminal, tested and operational 8) If a parcel tanker, is vessel loading products in addition to methanol? YES NO TERMINAL PIC 9) Are the vapors from the other products compatible with methanol? YES NO TERMINAL PIC 10) Can the vessel return vapors from multiple cargos? YES NO TERMINAL PIC DECLARATION OF INSPECTION (DOI)

11) If a parcel tanker, is vessel loading products in addition to methanol? YES NO VESSEL PIC 12) Are the vapors from the other products compatible with methanol? YES NO VESSEL PIC 13) Can the vessel return vapors from multiple cargos? YES NO VESSEL PIC CARGO HOSE CONNECTION MEETING CHECKLIST YES NO INITIAL 1) Before hose/loading arm connection, check spill containment. 2) Connect cargo loading/discharge hose or loading arm to the vessel manifold and secure with gasket and bolts 4 DOI CHECKLIST 3) Check that the terminal transfer system from the shore tank to the vessel is properly aligned. 4) Check that the vessel transfer system is properly aligned to the loading/discharge hose/loading arm. 5) Confirm the cargo hoses or loading arms are long enough for the intended transfer and each secured and supported. Certification that the PIC of the Vessel and the Terminal has read and understand the checklist above and agree to begin transfer of Methanol. FOR THE TERMINAL: FOR THE VESSEL: DECLARATION OF INSPECTION (DOI)

NAME AND TITLE OF INDIVIDUALS SIGNING: 1) Name: Title: 2) Name: Title: 3) Name: Title: 4) Name: Title: 5) Name: Title: 6) Name: Title: 7) Name: Title: 8) Name: Title: 5 DOI CHECKLIST DECLARATION OF INSPECTION (DOI)

DOS DECLARATION OF SECURITY MARSEC 1 & 2 NAME OF VESSEL: PORT OF REGISTRY: IMO NUMBER: NAME OF PORT: NAME OF TERMINAL: This Declaration of Security is valid from until For the following activities (list all) including the discharge or loading of Methanol 1 DOS CHECKLIST Under the following security Levels: SECURITY LEVEL FOR VESSEL: SECURITY LEVEL FOR PORT FACILITY (TERMINAL): The port facility (terminal) and the vessel agree to the security measures which follow and the Responsibilities to Ensure Compliance with Part A of the International Code for the Security of Ships and of Port Facilities. Responsible party for the vessel and the port facility shall initial accordingly the box with the corresponding activity that the vessel security officer and the port facility security officer will be accomplished in accordance to the plan agreed. DECLARATION OF SECURITY (DOS)

ACTIVITY TERMINAL VESSEL 1) Performance of all security duties 2) Monitoring restricted areas and assure access to authorized personnel only 3) Controlling access to the terminal 4) Controlling access to the terminal 5) 6) Monitoring of the terminal, including berthing areas and areas surrounding the vessel Monitoring of the vessel including berthing areas and areas surrounding the ship 7) Methanol handling 2 8) Delivery of stores (if applicable) DOS CHECKLIST 9) Handling of unaccompanied baggage 10) Controlling the embarkation of persons and their effects to and from the vessel SIGNED AND DATED ON THE BEHALF OF: THE TERMINAL: THE VESSEL: NAME AND TITLE OF INDIVIDUALS SIGNING: NAME: NAME: TITLE: TITLE: DECLARATION OF SECURITY (DOS)

EMERGENCY CONTACT INFORMATION List Telephone Numbers and Radio Channels and Frequencies to be used: FOR THE TERMINAL FOR THE VESSEL TELEPHONE #: RADIO CHANNEL: RADIO FREQUENCY: TERMINAL SECURITY OFFICER: MASTER: VESSEL SECURITY OFFICER: 3 SHIP OWNER: SHIP OWNER SECURITY OFFICER: DOS CHECKLIST DECLARATION OF SECURITY (DOS)

MT MARINE TERMINAL CHECKLIST NAME OF VESSEL: PORT OF REGISTRY: IMO NUMBER: NAME OF PORT: NAME OF TERMINAL: 1 VESSEL ARRIVAL TIME: GANGWAY TIME: DATE/TIME MT CHECKLIST DECLARATION OF SECURITY COMPLETED: DECLARATION OF INSPECTION COMPLETED: VESSEL MANIFOLD READY: DOCK MANIFOLD READY: INSPECTOR/SURVEYOR ARRIVAL TIME: MARINE TERMINAL (MT)

MARINE CHECKLIST CHECKLIST ITEM YES NO INITIAL PRE-TRANSFER OPERATION CHECKLIST 1) Is the Coast Guard Manual or similar Regional Port Authority Manual available at the dock? 2) Is the vessel securely docked at the correct berth? 3) Is firefighting equipment located and in working condition? a. Fire extinguishers? b. Fire hoses? 2 c. Foam system? d. Fire monitors? MT CHECKLIST 4) Is safety equipment in place and operational? a. Eyewash stations? b. c. Emergency breathing air (for example, Scott Air Pack) or respirators? Are work vests, safety ropes and lifesaving rings available and in good condition? 5) Are the emergency alarms operational? 6) Is the emergency stop readily accessible and operational? 7) Are radios operational? 8) Is the dock clean and free of debris? 9) Is the dock crane operational? 10) Is the gangway safely secured in place and not blocking safe egress to and from the dock? 11) Are all handrails and safety chains in place? MARINE TERMINAL (MT)

CHECKLIST ITEM YES NO INITIAL PRE-TRANSFER OPERATION CHECKLIST 12) Are all unauthorized personnel and vehicles off the dock and the area secured? 13) Are dock sumps clear of liquid chemicals? 14) Are loading/unloading hoses or loading arms in good condition? 15) Are vapor recovery system hoses in good condition? 16) Are lifting and support slings in good condition? 17) Are loading arms in good condition and operational? 18) Are flanges completely bolted and secure on hoses and loading arms? a. Are replacement bolts, flanges and gaskets available? 19) Are all the proper tools available at the dock? 20) Are pressure gauges working properly on the methanol product dock line? 3 MT CHECKLIST 21) Are the bleeder valves operational at the hose or loading arm connection and are the bleeder valves properly capped or plugged? 22) Is the nitrogen system operational? 23) Has the marine vapor recovery or destruction unit been checked and ready for operation? 24) Are all level alarms functional? 25) Are cargo hoses/loading arms connected to the proper vessel manifold valves? MARINE TERMINAL (MT)

POST TRANSFER CHECKLIST YES NO INITIAL 1) Is all firefighting equipment checked prior to disconnecting methanol product hoses and load arms from the vessel? a. Fire extinguishers? b. Fire hoses? c. Foam system? d. Fire monitors? 2) Safety equipment operational? a. Eyewash stations? b. Emergency breathing air (for example, Scott Air Pack) or respirators? 4 c. Are work vests, safety ropes and lifesaving rings available and in good condition? MT CHECKLIST 3) Is the gangway damaged? a. Has damaged been repaired? 4) Are there any spills? a. Has the spill been properly handled? b. Was the spill properly reported? 5) Any piping, valves, or fittings leaking? a. Has the problem been corrected? 6) Have the hoses or loading arms been properly cleared with nitrogen? 7) Once all safety concerns have been resolved, have the loading arms and hoses been disconnected and blind flange, gasket and bolts properly installed? 8) Have the radios been returned? 9) Has the pilot arrived? MARINE TERMINAL (MT)

POST TRANSFER CHECKLIST YES NO INITIAL 10) Have the mooring lines been removed and properly stored? 11) Once the vessel has departed, has the dock been secured and clean? SIGNED AND DATED ON THE BEHALF OF: THE TERMINAL: NAME AND TITLE OF INDIVIDUALS SIGNING: NAME: TITLE: NAME: TITLE: 5 EMERGENCY CONTACT INFORMATION List Telephone Numbers and Radio Channels and Frequencies to be used: MT CHECKLIST FOR THE TERMINAL FOR THE VESSEL TELEPHONE #: RADIO CHANNEL: RADIO FREQUENCY: TERMINAL SECURITY OFFICER: MASTER: VESSEL SECURITY OFFICER: SHIP OWNER: SHIP OWNER SECURITY OFFICER: MARINE TERMINAL (MT)

MVB MARINE VESSEL/BARGE CHECKLIST NAME OF VESSEL: PORT OF REGISTRY: IMO NUMBER: NAME OF PORT: NAME OF TERMINAL: VESSEL ARRIVAL TIME: GANGWAY TIME: DATE/TIME 1 MVB CHECKLIST DECLARATION OF SECURITY COMPLETED: DECLARATION OF INSPECTION COMPLETED: VESSEL MANIFOLD READY: DOCK MANIFOLD READY: INSPECTOR/SURVEYOR ARRIVAL TIME: MARINE VESSEL/BARGE (MVB)

MARINE CHECKLIST CHECKLIST ITEM YES NO INITIAL REMARKS PRE-TRANSFER OPERATION CHECKLIST 1) Personal Protective Equipment and Procedures Reviewed? 2) Cargo Discharge Plan Reviewed 3) Is firefighting equipment located and in working condition? a. Fire extinguishers? b. Fire hoses? 2 c. Foam system? MVB CHECKLIST 4) d. Fire monitors? Is safety equipment in place and operational? a. Eyewash stations? b. Emergency breathing air (for example, Scott Air Pack) or respirators? c. Are work vests, safety ropes and lifesaving rings available and in good condition? 5) Are the emergency alarms operational? 6) Is the emergency stop readily accessible and operational? 7) Are radios operational? 8) Manifold area clean and free of obstructions? 9) Is the ship s crane operational? MARINE VESSEL/BARGE (MVB)

CHECKLIST ITEM YES NO INITIAL REMARKS PRE-TRANSFER OPERATION CHECKLIST 10) Is the gangway safely secured in place and not blocking safe egress to and from the dock? 11) Are all handrails and safety chains in place? 12) 13) Have all unauthorized personnel been discharged from the vessel? Are sumps/catch basins clear of liquid chemicals? 14) Nitrogen system inspected and operational? 15) H as the vapor return system been inspected and found operational? 16) Ballast system checked and operational? 3 17) Pumps inspected and operational? 18) Are flanges completely bolted and secure on the manifold? MVB CHECKLIST a. Are replacement bolts, flanges and gaskets available? 19) 20) Are all the proper tools available on the deck? Are pressure gauges working properly on the methanol product line? 21) Mooring lines and equipment checked? 22) Terminal/Port Mooring Procedure reviewed? 23) Are the cargo tank oxygen sensors, level gauges and alarms checked and verified? 24) Have the cargo tanks and lines been checked and verified as ready for loading/ discharging methanol? MARINE VESSEL/BARGE (MVB)

CHECKLIST ITEM YES NO INITIAL REMARKS PRE-TRANSFER OPERATION CHECKLIST 25) 26) 27) 28) Has the maximum operating pressure been verified and recorded? Have operating temperatures been verified and recorded? Have all the cargo tank safety valves been checked and verified as operational? Has the Harbor Pilot been notified and verified by the agent? a. Notification Time b. Harbor Pilot arrival time 4 MVB CHECKLIST 29) Has the Notice of Readiness (NOR) been issued to the terminal and verified by the Agent and terminal? a. Time of NOR POST TRANSFER CHECKLIST YES NO INITIAL REMARKS 1) Is all firefighting equipment checked prior to disconnecting methanol product hoses and load arms from the vessel? a. Fire extinguishers? b. Fire hoses? c. Foam system? d. Fire monitors? 2) Safety equipment operational? a. Eyewash stations? b. Emergency breathing air (for example, Scott Air Pack) or respirators? MARINE VESSEL/BARGE (MVB)

POST TRANSFER CHECKLIST YES NO INITIAL REMARKS c. Are work vests, safety ropes and lifesaving rings available and in good condition? 3) Is the gangway damaged? a. Has damaged been repaired? 4) Have there been any spills? a. Was the spill been properly handled? b. Was the spill properly reported? 5) Any piping, valves, or fittings leaking? a. Has the problem been corrected? 5 6) 7) Have the hoses or loading arms been properly cleared with nitrogen? Once all safety concerns have been resolved, have the loading arms and hoses been disconnected and blind flange, gasket and bolts properly installed on manifold? MVB CHECKLIST 8) Have the radios been returned? 9) Has the pilot arrived? 10) 11) Have the mooring lines been removed and properly stored? Once the vessel has departed, has the dock been secured and clean? SIGNED AND DATED ON THE BEHALF OF: THE VESSEL: MARINE VESSEL/BARGE (MVB)

NAME AND TITLE OF INDIVIDUALS SIGNING: NAME: NAME: TITLE: TITLE: EMERGENCY CONTACT INFORMATION List Telephone Numbers and Radio Channels and Frequencies to be used: TELEPHONE #: FOR THE VESSEL RADIO CHANNEL: 6 MVB CHECKLIST RADIO FREQUENCY: MASTER: VESSEL SECURITY OFFICER: SHIP OWNER: SHIP OWNER SECURITY OFFICER: MARINE VESSEL/BARGE (MVB)

PPE METHANOL PERSONAL PROTECTIVE EQUIPMENT NAME OF VESSEL: PORT OF REGISTRY: IMO NUMBER: NAME OF PORT: NAME OF TERMINAL: CHECKLIST ITEM YES NO INITIAL REMARKS PRE-TRANSFER OPERATION CHECKLIST PPE CHECKLIST: Although every effort should be taken to prevent leaks or spills during the connection of hoses, loading arms or taking samples, personnel should protect them from a methanol release. 1) Fire Retardant Clothing 2) Coverall or apron suitable for the handling methanol in the connection hoses or loading arms and sampling 1 PPE CHECKLIST 3) Gloves suitable for the handling of methanol in the connection of hoses and loading arms and sampling 4) Safety Shoes 5) Hard Hat 6) Safety Glasses or Goggles 7) Face Shield when handling hoses, loading arms or sampling 8) Personal Respirator 9) Personal Vapor Monitoring Device for Methanol vapor detection 10) Work Safety Vest (to be used in designated areas requiring approved life vest) METHANOL PERSONAL PROTECTIVE EQUIPMENT (PPE)

TVT TERMINAL & VESSEL PRE/POST TRANSFER CHECKLIST & TIME LOG NAME OF VESSEL: PORT OF REGISTRY: IMO NUMBER: NAME OF PORT: NAME OF TERMINAL: 1 NOTICE OF READINESS (NOR) GIVEN BY VESSEL DATE/TIME TERMINAL (INITIAL) VESSEL (INITIAL) REMARKS (FOR EXAMPLE, INSPECTOR INITIALS) TVT CHECKLIST NOR RECEIVED AND APPROVED BY PORT/ TERMINAL VESSEL ARRIVAL TIME: GANGWAY TIME: DECLARATION OF SECURITY COMPLETED: DECLARATION OF INSPECTION COMPLETED: TERMINAL & VESSEL PRE/POST TRANSFER (TVT)

DATE/TIME TERMINAL (INITIAL) VESSEL (INITIAL) REMARKS (FOR EXAMPLE, INSPECTOR INITIALS) VESSEL MANIFOLD READY: DOCK MANIFOLD READY: INSPECTOR/ SURVEYOR ARRIVAL TIME: MARINE CHECKLIST 2 CHECKLIST ITEM YES NO INITIAL REMARKS TVT CHECKLIST Pre-Transfer Operation Checklist (NOTE: When Inspector/Surveyor is present, PPE is required and Inspector should initial in the remarks column) 1) Personal Protective Equipment and Procedures Reviewed 2) Cargo Discharge Plan Reviewed 3) Is firefighting equipment located and in working condition? a. Fire extinguishers? b. Fire hoses? c. Foam system? d. Fire monitors? 4) Is safety equipment in place and operational? a. Eyewash stations? TERMINAL & VESSEL PRE/POST TRANSFER (TVT)

CHECKLIST ITEM YES NO INITIAL REMARKS b. Emergency breathing air (for example, Scott Air Pack) or respirators? c. Are work vests, safety ropes and lifesaving rings available and in good condition? 5) Are the emergency alarms operational? 6) Is the emergency stop readily accessible and operational? 7) Are radios operational? 8) Manifold area clean and free of obstructions? 9) Is the ship s crane operational? 3 10) Is the gangway safely secured in place and not blocking safe egress to and from the dock? 11) Are all handrails and safety chains in place? TVT CHECKLIST 12) 13) 14) 15) Have all unauthorized personnel been discharged from the vessel? Are sumps/catch basins clear of liquid chemicals? Nitrogen system inspected and operational? Has the vapor return system been inspected and found operational? 16) Ballast system checked and operational? 17) Pumps inspected and operational? 18) Are flanges completely bolted and secure on the manifold? a. Are replacement bolts, flanges and gaskets available? TERMINAL & VESSEL PRE/POST TRANSFER (TVT)

CHECKLIST ITEM YES NO INITIAL REMARKS 19) 20) Are all the proper tools available on the deck? Are pressure gauges working properly on the methanol product line? 21) Mooring lines and equipment checked? 22) Terminal/Port Mooring Procedure reviewed? 23) Are the cargo tank oxygen sensors, level gauges and alarms checked and verified? 24) Have the cargo tanks and lines been checked and verified as ready for loading/ discharging methanol? 4 25) Has the maximum operating pressure been verified and recorded? TVT CHECKLIST 26) 27) Have operating temperatures been verified and recorded? Have all the cargo tank safety valves been checked and verified as operational? 28) List Prior Cargos a. First Prior Cargo b. Second Prior Cargo c. Third Prior Cargo 29) 30) 31) LOADING ONLY: Were the cargo tanks cleaned prior to Port/Terminal Arrival? LOADING ONLY: Were cargo tanks wall washed? LOADING ONLY: Were cargo tank hatches opened? 32) Have all hatches been secured? 33) Have the cargo tanks been inerted? TERMINAL & VESSEL PRE/POST TRANSFER (TVT)

CHECKLIST ITEM YES NO INITIAL REMARKS a. What is O 2 level in the cargo tanks? 34) Has the Harbor Pilot been notified and verified by the agent? 35) Notification Time a. Harbor Pilot arrival time b. Has the Notice of Readiness (NOR) been issued to the terminal and verified by the Agent and terminal? 36) Time of NOR a. POST TRANSFER CHECKLIST YES NO INITIAL REMARKS 5 Is all firefighting equipment checked prior to disconnecting methanol product hoses and load arms from the vessel? 1) Fire extinguishers? TVT CHECKLIST a. Fire hoses? b. Foam system? c. Fire monitors? d. Safety equipment operational? 2) Eyewash stations? a. Emergency breathing air (for example, Scott Air Pack) or respirators? b. Are work vests, safety ropes and lifesaving rings available and in good condition? c. Is the gangway damaged? TERMINAL & VESSEL PRE/POST TRANSFER (TVT)

POST TRANSFER CHECKLIST YES NO INITIAL REMARKS 3) Has damaged been repaired? a. Have there been any spills? 4) Was the spill been properly handled? a. Was the spill properly reported? b. Any piping, valves, or fittings leaking? 5) Has the problem been corrected? a. Have the hoses or loading arms been properly cleared with nitrogen? 6 TVT CHECKLIST 6) Once all safety concerns have been resolved, have the loading arms and hoses been disconnected and blind flange, gasket and bolts properly installed on manifold? 7) Have the radios been returned? 8) Has the pilot arrived? 9) 10) Have the mooring lines been removed and properly stored? Once the vessel has departed, has the dock been secured and clean? 11) (Intentionally left blank) SIGNED AND DATED ON THE BEHALF OF: THE VESSEL: THE PORT/TERMINAL: THE INSPECTOR/ SURVEYOR: TERMINAL & VESSEL PRE/POST TRANSFER (TVT)

NAME AND TITLE OF INDIVIDUALS SIGNING: FOR THE VESSEL NAME: NAME: TITLE: TITLE: FOR PORT/TERMINAL NAME: NAME: TITLE: TITLE: FOR THE INSPECTION COMPANY NAME: NAME: TITLE: TITLE: EMERGENCY CONTACT INFORMATION List Telephone Numbers and Radio Channels and Frequencies to be used: FOR THE VESSEL 7 TVT CHECKLIST TELEPHONE #: RADIO CHANNEL: RADIO FREQUENCY: MASTER: VESSEL SECURITY OFFICER: SHIP OWNER: TERMINAL & VESSEL PRE/POST TRANSFER (TVT)

FOR THE VESSEL SHIP OWNER SECURITY OFFICER: EMERGENCY CONTACT INFORMATION List Telephone Numbers and Radio Channels and Frequencies to be used: FOR THE TERMINAL FOR THE VESSEL TELEPHONE #: RADIO CHANNEL: RADIO FREQUENCY: 8 TVT CHECKLIST TERMINAL SECURITY OFFICER: MASTER: VESSEL SECURITY OFFICER: SHIP OWNER: SHIP OWNER SECURITY OFFICER: IF RADIO PROVIDED BY THE TERMINAL DATE TIME NUMBER OF RADIOS PROVIDED THE VESSEL: TERMINAL PIC ISSUING RADIOS SIGNATURE: VESSEL PIC ACCEPTING RADIOS SIGNATURE: RADIOS RETURNED: TERMINAL PIC ACCEPTANCE OF THE RADIOS SIGNATURE: VESSEL PIC RETURNING RADIOS SIGNATURE: TERMINAL & VESSEL PRE/POST TRANSFER (TVT)

VESSEL DEPARTURE DRAFT: VESSEL DEPARTURE TIME: REMARKS TIME LOG CUSTOMER: 9 TVT CHECKLIST PRODUCT: QUANTITY: CARGO TEMPERATURE: CARGO MINIMUM WORKING TEMPERATURE: MAXIMUM HEADER PRESSURE: INITIAL LOAD/DISCHARGE RATE: MAXIMUM LOAD/DISCHARGE RATE: SHORE TANK NUMBERS: DOCK LINE NUMBER: VESSEL HEADER NUMBER: TERMINAL & VESSEL PRE/POST TRANSFER (TVT)

VESSEL TANK NUMBERS - RECEIVING VESSEL TANK NUMBERS - DISCHARGING VAPOR HOSE NUMBER: VESSEL VAPOR CONNECTION: VAPOR HOSE ON DATE TIME CARGO HOSE ON DATE TIME TRANSFER START DATE TIME CARGO LOADING/DISCHARGE COMPLETION DATE/TIME 10 SHUT DOWN REASON: SHUT DOWN DATE/TIME: START-UP DATE/TIME: TVT CHECKLIST CARGO HOSE OFF DATE/TIME VAPOR HOSE OFF DATE/TIME VESSEL PIC CERTIFIES THAT THE ABOVE INFORMATION IS CORRECT FOR QUANTITIES FOR MAXIMUM RATE AND PRESSURE FOR THE VESSEL VESSEL AUTHORIZED SIGNATURE DATE AND TIME TERMINAL & VESSEL PRE/POST TRANSFER (TVT)